Department of Obstetrics and Gynaecology, Imelda Hospital, Bonheiden, Belgium; Department of Development and Regeneration, Faculty of Medicine, Group Biomedical Sciences, KU Leuven, Leuven, Belgium.
Department of Obstetrics and Gynaecology, Imelda Hospital, Bonheiden, Belgium.
J Gynecol Obstet Hum Reprod. 2024 Nov;53(9):102857. doi: 10.1016/j.jogoh.2024.102857. Epub 2024 Sep 20.
The technique to perform adnexectomy for adnexal masses has shifted over the last decades, from open surgery towards minimally invasive approaches. At the same time caution is warranted to prevent perioperative intra-abdominal spilling of cyst content which can be a challenge especially for very large masses. vNOTES (vaginal Natural Orifice Transluminal Endoscopic Surgery) combines a vaginal approach with endoscopic overview in performing gynaecological surgery without abdominal scarring. The aim of the video is to demonstrate a vNOTES technique for safely bagging very large adnexal masses.
过去几十年来，针对附件包块的附件切除术技术已经发生了转变，从开放式手术向微创方法转变。与此同时，需要谨慎操作，以防止囊内容物在围手术期腹腔内溢出，这对于非常大的包块来说是一个挑战。vNOTES（阴道自然腔道内镜手术）将阴道入路与内镜全貌相结合，在不留下腹部疤痕的情况下进行妇科手术。本视频旨在演示一种安全地包裹超大附件包块的 vNOTES 技术。
